Surgical Treatment for Hallux Rigidus

Summary

The purpose of this study is to examine the long-term outcomes for the surgical treatment of
end stage degeneration in the big toe joint.

Description

Hallux rigidus is a degenerative process that occurs in the first metatarsophalangeal joint
(MTPJ). There are a variety of surgical treatment options available for its treatment
including joint sparing and joint destructive procedures. Patients with end stage arthritis
are often given several surgical options for the treatment of the first MTPJ. The
procedures are correlated to the patient's age, type of shoe gear, activity level, Body Mass
Index, degree of arthritis, desire for joint mobility and bone density. This proposal
outlines a retrospective study on the long-term efficacy of joint resection, joint fusion,
and hemi-metallic first MTPJ implants. A multi-center study of 300 subjects who received
surgical repair for end stage arthritis of the first MTPJ will be evaluated. Subjective
assessment for pain, function and alignment as well as objective radiographic evaluation
will be performed. Further, the frequency and types of adverse events associated with the
three surgical techniques will be assessed. The results of this study will provide valuable
information to foot and ankle surgeons in making appropriate decisions regarding the
treatment options for end stage hallux rigidus.

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Medical and Biotech [MESH] Definitions

The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed)

Joint Capsule Release

Surgical procedure to relax the JOINT CAPSULE tissues in a joint that has a reduced range of motion due to CONTRACTURE or TISSUE ADHESIONS or joint deformities.

Shoulder

Part of the body in humans and primates where the arms connect to the trunk. The shoulder has five joints; ACROMIOCLAVICULAR joint, CORACOCLAVICULAR joint, GLENOHUMERAL joint, scapulathoracic joint, and STERNOCLAVICULAR joint.

Metal-on-metal Joint Prostheses

Types of prosthetic joints in which both wear surfaces of the joint coupling are metallic.

Joint Instability

Lack of stability of a joint or joint prosthesis. Factors involved are intra-articular disease and integrity of extra-articular structures such as joint capsule, ligaments, and muscles.

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Relevant Topics

Surgical treatmentsSurgery is a technology consisting of a physical intervention on tissues.
All forms of surgery are considered invasive procedures; so-called "noninvasive surgery" usually refers to an excision that does not penetrate the structure being exci...

Joint DisordersA joint is where two or more bones come together, like the knee, hip, elbow, or shoulder. Joints can be damaged by many types of injuries or diseases, including
Arthritis - inflammation of a joint causes pain, stiffness, and swelling with ...